Coding Specialist

"MUST HAVE CPC CERTIFICATE" Position is not remote

This role is well suited for someone with a medical billing/coding background who is comfortable reviewing documentation, coding accurately, submitting high volumes of professional claims, and resolving billing issues while working both independently and collaboratively.

Primary Responsibilities:

• Review, manage and submit 75-100 CMS-1500 professional claims each day.
• Assign accurate procedure and diagnosis codes.
• Verify claim accuracy before submission.
• Review medical records to determine appropriate ICD-10 and CPT codes.
• Coordinate with other departments to obtain missing documentation.
• Resolve claim rejections and make claim corrections.
• Collaborate with revenue cycle teams to understand payer-specific billing guidelines and state insurance requirements.

Key Qualifications:

• Certificate or diploma from an accredited medical billing/coding program.
• Professional coding certification (required).
• Knowledge of ICD-10 and CPT coding.
• Strong attention to detail and accuracy.
• Ability to multitask and prioritize work.
• Strong analytical and comprehension skills.
• Excellent verbal and written communication.
• Intermediate proficiency in Microsoft Excel.
• Work independently while maintaining timely communication with management.
• Positive attitude and ability to work collaboratively.
• Ability to consistently meet deadlines.

Preferred Experience:

• Medical billing and coding experience with CMS-1500 professional claims.
• Knowledge of insurance policies and reimbursement processes.
• Experience with out-of-network medical billing.